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Journal of Heart and Lung Transplantation | 2012

The registry of the international society for heart and lung transplantation: 29th official adult heart transplant report-2012

Josef Stehlik; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Jason D. Christie; Anne I. Dipchand; Fabienne Dobbels; Richard Kirk; Axel Rahmel; Marshall I. Hertz

This 29th adult transplant report is based on data submitted by 394 transplant centers worldwide. In excess of 104,000 heart transplants have been registered in the database. Summary data are provided for the entire cohort of patients, whereas a number of additional analyses focus on cohorts of patients transplanted more recently. Detailed data analyses can be viewed on the slide set of the registry of the International Society for Heart and Lung Transplantation (ISHLT), which is available online (www.ishlt.org/registries). The report is divided into several sections. Baseline donor, recipient and medical center demographics are reviewed first. The second part focuses on immunosuppressive therapies and acute allograft rejection. Survival after heart transplant is examined next, and data on post-transplant morbidities and quality of life after transplant conclude the report.


Journal of Heart and Lung Transplantation | 2014

The Registry of the International Society for Heart and Lung Transplantation: Thirty-first Official Adult Heart Transplant Report—2014; Focus Theme: Retransplantation

Lars H. Lund; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Jason D. Christie; Anne I. Dipchand; Fabienne Dobbels; Samuel Goldfarb; B. Levvey; Bruno Meiser; Roger D. Yusen; Josef Stehlik

Data are submitted to the International Society for Heart and Lung Transplantation (ISHLT) Registry by national and multinational organ and data exchange organizations or by participating individual centers. Since the Registry inception, 416 heart transplant centers, 241 lung transplant centers, and 168 heart-lung transplant centers have reported data to the registry. We estimate that data submission to the Registry represents approximately 66% of worldwide thoracic transplant activity. This report used standard statistical methodology for analyses and reporting. Where appropriate, a more detailed explanation about the analytic methodology accompanies the Web site slides (in the “Notes Page” view). To assess time-to-event rates (e.g., survival), this report used the


Journal of Heart and Lung Transplantation | 2012

The Registry of the International Society for Heart and Lung Transplantation: 29th Adult Lung and Heart-Lung Transplant Report—2012

Jason D. Christie; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Anne I. Dipchand; Fabienne Dobbels; Richard Kirk; Axel Rahmel; Josef Stehlik; Marshall I. Hertz

This section of the 29th official International Society for Heart and Lung Transplantation (ISHLT) Registry report summarizes the current status of adult lung and heart-lung transplantation by reporting data on this international group of patients. The Registry contains data on 3,631 adult heart-lung and 39,835 adult lung transplants performed through June 30, 2011 from centers around the world. More detailed information is presented in the full slide set, which is available on the ISHLT Web site at www.ishlt.org/registries/.


Journal of Heart and Lung Transplantation | 2011

The Registry of the International Society for Heart and Lung Transplantation: Twenty-eighth Adult Heart Transplant Report—2011

Josef Stehlik; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Jason D. Christie; Fabienne Dobbels; Richard Kirk; Axel Rahmel; Marshall I. Hertz

This Twenty-eighth Report of the International Society for Heart and Lung Transplantation (ISHLT) Transplant Registry is based on data submitted by participating transplant centers worldwide. A total of 388 heart transplant centers have contributed information to the Registry. This year we have also achieved another important milestone: the 100,000 heart transplant recipient was registered in the database. This report reviews important statistics for the entire cohort of patients registered in the database. However, similar to prior reports, many of the more detailed analyses will focus on recent transplant recipients, exploring information relevant to contemporary heart transplantation practice. The first part of the report reviews important donor, recipient, and medical center demographics. The second part provides an overview of immunosuppressive therapies used after transplantation. The third part examines survival, mortality risk factors, and causes of death after adult heart transplantation. The last section focuses on quality of life after transplant.


Journal of Heart and Lung Transplantation | 2015

A consensus document for the selection of lung transplant candidates: 2014--an update from the Pulmonary Transplantation Council of the International Society for Heart and Lung Transplantation.

David Weill; Christian Benden; Paul Corris; John H. Dark; R. Duane Davis; Shaf Keshavjee; David J. Lederer; Michael J. Mulligan; G. Alexander Patterson; Lianne G. Singer; G. Snell; Geert Verleden; Martin R. Zamora; Allan R. Glanville

The appropriate selection of lung transplant recipients is an important determinant of outcomes. This consensus document is an update of the recipient selection guidelines published in 2006. The Pulmonary Council of the International Society for Heart and Lung Transplantation (ISHLT) organized a Writing Committee of international experts to provide consensus opinion regarding the appropriate timing of referral and listing of candidates for lung transplantation. A comprehensive search of the medical literature was conducted with the assistance of a medical librarian. Writing Committee members were assigned specific topics to research and discuss. The Chairs of the Writing Committee were responsible for evaluating the completeness of the literature search, providing editorial support for the manuscript, and organizing group discussions regarding its content. The consensus document makes specific recommendations regarding the timing of referral and of listing for lung transplantation. These recommendations include discussions not present in previous ISHLT guidelines, including lung allocation scores, bridging to transplant with mechanical circulatory and ventilator support, and expanded indications for lung transplantation. In the absence of high-grade evidence to support decision making, these consensus guidelines remain part of a continuum of expert opinion based on available studies and personal experience. Some positions are immutable. Although transplant is rightly a treatment of last resort for end-stage lung disease, early referral allows proper evaluation and thorough patient education. Subsequent waiting list activation implies a tacit agreement that transplant offers a significant individual survival advantage. It is both the challenge and the responsibility of the transplant community globally to ensure organ allocation maximizes the potential benefits of a scarce resource, thereby achieving that advantage.


Journal of Heart and Lung Transplantation | 2013

The Registry of the International Society for Heart and Lung Transplantation: Thirtieth Official Adult Heart Transplant Report—2013; Focus Theme: Age

Lars H. Lund; Leah B. Edwards; Anna Y. Kucheryavaya; Anne I. Dipchand; Christian Benden; Jason D. Christie; Fabienne Dobbels; Richard Kirk; Axel Rahmel; Roger D. Yusen; Josef Stehlik

This 30th adult heart transplant report is based on data submitted on 110,486 heart transplants in recipients of all ages (including 99,008 adults) by 407 centers worldwide since 1982 through June 30, 2012, with follow-up until June 30, 2012. Summary data are provided for the entire cohort of patients, whereas a number of additional analyses focus on cohorts who received transplants more recently. Detailed data analyses can be viewed in the International Society for Heart and Lung Transplantation (ISHLT) Registry slide sets available online (www.ishlt.org/registries). The report is divided into several sections:


Journal of Heart and Lung Transplantation | 2013

The Registry of the International Society for Heart and Lung Transplantation: Thirtieth Adult Lung and Heart-Lung Transplant Report—2013; Focus Theme: Age

Roger D. Yusen; Jason D. Christie; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Anne I. Dipchand; Fabienne Dobbels; Richard Kirk; Lars H. Lund; Axel Rahmel; Josef Stehlik

This section of the 30th official Registry report of 2013 summarizes data from 43,428 adult lung and 3,703 adult heart-lung transplant recipients and their donors for transplants that occurred through June 30, 2012. This report describes donor and recipient characteristics, transplant type, and recipient outcomes data. The full Registry slide set available online (www.ishlt.org/registries) provides more detail, additional analyses, and other information not included in this printed report. For the first time, the Registry report focuses on an overall theme of recipient and donor age and incorporates new age-related analyses into its annual update.


Journal of Heart and Lung Transplantation | 2011

The Registry of the International Society for Heart and Lung Transplantation: Twenty-eighth Adult Lung and Heart-Lung Transplant Report--2011

Jason D. Christie; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Fabienne Dobbels; Richard Kirk; Axel Rahmel; Josef Stehlik; Marshall I. Hertz

The Registry of the International Society for Heart and Lung Transplantation (ISHLT) has documented trends in clinical lung and heart-lung transplantation since the inception of these procedures. Detailed heart-lung transplantation data have been included in the Registry annual reports since 1984 and lung transplantation data since 1989. Through June 30, 2010, the Registry contains data on 4,248 heart-lung and 38,119 lung transplants from centers around the world. This 28th Lung and Heart-Lung Registry Report summarizes the current status of lung and heart-lung transplantation by reporting data on this international group of patients, focusing on adults. More detailed information is presented in the full set of more than 200 slides that can be found on the ISHLT Web site at www.ishlt.org/registries/.


Journal of Heart and Lung Transplantation | 2015

The Registry of the International Society for Heart and Lung Transplantation: Thirty-second Official Adult Lung and Heart-Lung Transplantation Report—2015; Focus Theme: Early Graft Failure

Roger D. Yusen; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Anne I. Dipchand; Samuel Goldfarb; B. Levvey; Lars H. Lund; Bruno Meiser; Joseph W. Rossano; Josef Stehlik

This section of the 32nd official International Society for Heart and Lung Transplantation (ISHLT) Registry Report of 2015 summarizes data from 51,440 adult lung and 3,820 adult heart-lung transplants that occurred through June 30, 2014. This publication reports data for donor and recipient characteristics, transplant events, and recipient treatments and outcomes. This Registry Report focuses on an overall theme of recipient early graft failure. The Registry’s online full slide set provides more detail, additional analyses, and other information not included in this publication.


Journal of Heart and Lung Transplantation | 2014

The Registry of the International Society for Heart and Lung Transplantation: Thirty-first Adult Lung and Heart–Lung Transplant Report—2014; Focus Theme: Retransplantation

Roger D. Yusen; Leah B. Edwards; Anna Y. Kucheryavaya; Christian Benden; Anne I. Dipchand; Fabienne Dobbels; Samuel Goldfarb; B. Levvey; Lars H. Lund; Bruno Meiser; Josef Stehlik

This section of the 31st official International Society for Heart and Lung Transplantation (ISHLT) Registry Report 2014 summarizes data from 47,647 adult lung and 3,772 adult heart–lung transplants that occurred through June 30, 2013. We report findings for donor and recipient characteristics, transplant types and recipient outcomes. This report focuses on the overall theme of recipient retransplantation and incorporates new retransplantation-related analyses into its annual update. The full Registry slide set available online (www.ishlt.org/registries) provides more detail, additional analyses and other information not included herein.

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Samuel Goldfarb

Children's Hospital of Philadelphia

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Fabienne Dobbels

Katholieke Universiteit Leuven

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